Application

Please fill in the form and use the PRINT button below to print the application.
Mail the application with pre-registration fee payable to:
Don Gosz - 1308 Maria Lane - Menasha, WI 54952
Phone: (920) 729-1717 - Cell: (920) 475-4177 - Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Personal Information

Last:

First:

M.I.

HT.

Address

Street		City
State		Zip
Phone		Email

Miscellaneous

School attending

Grade (Fall of 2012)

Age at camp

MaleFemale

Roommate preference

(To avoid confusion, it is recommended roommates
send in their applications together, if possible.)

Have you attended a
Don Gosz camp before?

	Yes	Number of years attended.
	No	Adult shirt size

Camps & Fees

June 15-17 Shooting & Offensive Skills' Camp @ Appleton		A deposit of $100.00 enclosed (Balance due before June 1st)
		Overnight fee of $225.00 enclosed which includes room and five meals and is for campers who enroll as a single or double.
		Overnight fee of $200.00 with three (3) campers in a room and five meals. (NEW PRICE)
		Overnight fee of $175.00 with four (4) campers in a room and five meals. (NEW PRICE)
		Day Camper for $110.00 which includes one Saturday lunch and dinner. (REDUCED PRICE)
		Day Camper with no meals' fee of $100.00 enclosed. (REDUCED PRICE)
Discounts		Deduct $25 from the above fees if discount applies. Maximum discount is $25